UK hospital fees left more than 900 migrants without treatment

A person walks past images of National Health Service (NHS) workers displayed on hoardings outside a temporary field hospital at St George's Hospital. (File/Reuters)
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Updated 20 August 2023
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UK hospital fees left more than 900 migrants without treatment

  • NHS trusts in England have required upfront payment before treating certain migrants with elective care

LONDON: Over 900 migrants in the UK have declined medical treatment after being required to pay upfront fees over the last two years, The Guardian reported on Sunday.

According to data obtained under the Freedom of Information Act, 3,545 patients across 68 hospital trusts in England have been told they must pay upfront costs totaling £7.1 million ($9 million) since January 2021. Of those, 905 patients did not proceed with treatment.

Since October 2017, NHS trusts in England have required upfront payment before treating certain migrants with elective care. This applies to foreign visitors and migrants who have been determined ineligible for free healthcare, such as unsuccessful asylum applicants and those who have overstayed their visas. 

In 2018, The Guardian reported the case of 71-year-old cancer patient Elfreda Spencer, who died after being denied chemotherapy for a year. 

Before having a stroke, personal trainer Simba Mujakachi was rejected treatment for a blood-clotting disease in 2019 due to the upfront fee policy. 

“The hospital told me I had to pay thousands of pounds before I came in for surgery and that having a debt could affect my asylum application, so I didn’t go, even though I knew I needed it,” he told The Guardian. 

Mujakachi continued: “I didn’t have that kind of money and I was not allowed to work. And then, just before I turned 30, I had a brain hemorrhage and a stroke that left me disabled.

“The inhumane treatment I have been subject to under the hostile environment over the past 10 years was the cause of my life-changing stroke. I think about what would have happened if I had been able to get the treatment I needed like everyone else.”

Oke, who moved to the UK from Nigeria in 2007, was diagnosed with Fabry disease in 2020 after suffering a stroke, kidney failure, and infection with COVID-19. He needed enzyme replacement therapy to help avoid future organ damage and strokes, but it was not available unless he could either legalize his immigration status or pay.

Oke involved the medical group Doctors of the World, his MP Afzal Khan, and the parliamentary and health service Ombudsman in his case during three years of increasing pain. A week later, the hospital trust agreed to provide ERT. 

“I felt like I was being treated like an animal, not a human being,” said Oke. 

“It’s been awful, because apart from the physical pain there’s also the mental pain, not knowing what’s going on, what could happen next. It’s been a nightmare,” he added.

Although the policy is not supposed to cover urgent or “immediately necessary” treatment, The Guardian reported several cases of people wrongly denied treatment. 

“Access to healthcare to all living in the UK, including secondary care, where we often see the most pressing health issues, should and can be equal, based on need and never dependent on someone’s financial or immigration status,” Amardeep Kamboz, head of services at Doctors of the World UK, told The Guardian.

A Department of Health and Social Care spokesperson told The Guardian: “The NHS is a residency-based healthcare system, and entitlement to free hospital care is based on being lawfully and properly settled in the UK. 

“People who are not ordinarily resident here must contribute to the cost of their care unless exempt from charge, such as refugees.

“Payment is only required upfront in non-urgent cases when the care can safely occur after the patient’s departure from the UK. 

“Immediately necessary or urgent care must never be withheld or delayed pending payment, as charges for this care can be recovered afterwards by installments or written off as unrecoverable if the patient cannot pay.”
 


Singapore’s long-ruling party on track for landslide win

Updated 03 May 2025
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Singapore’s long-ruling party on track for landslide win

  • Supporters of the PAP, which had ruled Singapore since 1959, gathered at a stadium waving flags and cheering in an early celebration

SINGAPORE: Singapore’s long-ruling People’s Action Party is on track to win another landslide in Saturday’s general elections, according to a sample count of votes released by the Election Department.
The sample count showed the PAP in strong leads in 82 out of 97 seats, which gives it a total 87 seats in an enlarged parliament.
The opposition Workers Party maintained 10 seats. The sample count was not conclusive, but has mirrored final results in the past.
It marked an improvement for the PAP, which secured 83 seats in 2020 polls. It also will bolster Prime Minister Lawrence Wong in his first electoral test since taking office a year ago. A final result was expected in the early hours of Sunday.
Supporters of the PAP, which had ruled Singapore since 1959, gathered at a stadium waving flags and cheering in an early celebration.

 


Gabon swears in ex-junta chief Oligui as president

Updated 03 May 2025
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Gabon swears in ex-junta chief Oligui as president

  • The main concerns are an aging electricity network, which suffers frequent power cuts, youth unemployment that hovers at 40 percent, poor or lacking roads, and a ballooning public debt, forecast to hit 80 percent of GDP this year

AKANDA, Gabon: Gabon began swearing in on Saturday President-elect Brice Oligui Nguema, who led a coup ending decades of Bongo family rule and swept polls last month with nearly 95 percent of the vote.
The general and former junta leader, who toppled Ali Bongo in August 2023, ending 55 years of dynastic rule by the Bongo family, officially takes the presidential reins after leading a 19-month transition government.
Some 20 African heads of state arrived for the inauguration ceremony at a stadium north of the capital, Libreville, while supporters decked out in T-shirts and flags bearing Oligui’s likeness packed out the 40,000-capacity venue.

BACKGROUND

Some 20 African heads of state arrived for the inauguration ceremony at a stadium north of the capital, Libreville.

Leaders in attendance include Gambia’s Adama Barrow, Senegal’s Bassirou Diomaye Faye, Djibouti’s Ismail Omar Guelleh, and Teodoro Obiang Nguema Mbasogo from Equatorial Guinea.
The Democratic Republic of Congo’s president, Felix Tshisekedi, likewise entered around midday.
Tickets were free to attend the investiture at the Angondje stadium, built to honor the friendship between Gabon and China.
It marks the country’s first swearing-in ceremony for such a large audience.
From the morning, the roads of the capital, Libreville, and around the Angondje stadium were clogged with traffic, AFP journalists saw.
On the program for the ceremony was a series of artistic performances and a military parade, according to state media, which will be followed by a “victory concert” on the Libreville waterfront in the evening.
In the lead-up, hundreds of workers have been painstakingly cleaning and repainting areas around the main roads leading to the stadium.
Authorities and official media have called for people to be public-spirited because of the influx of foreign guests.
“All citizens of Greater Libreville are asked to extend a warm welcome to these distinguished guests,” the Interior Ministry said in a statement.
It called on residents near the stadium to “take part in cleaning and beautifying” the area.
Oligui, 50, faces serious challenges in leading the oil-rich country, which needs to revamp crucial infrastructure and diversify its economy, but is heavily indebted.
The main concerns are an aging electricity network, which suffers frequent power cuts, youth unemployment that hovers at 40 percent, poor or lacking roads, and a ballooning public debt, forecast to hit 80 percent of GDP this year.
During the transition, Oligui portrayed himself as a “builder,” launching numerous construction projects, while vowing to “crack down” on corruption to get the country back on track.

 


Over 45,000 affected by Somalia flash floods

Flash floods have forced thousands to flee to makeshift camps. (Supplied)
Updated 03 May 2025
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Over 45,000 affected by Somalia flash floods

  • “The flooding swept away homes and inundated crops, disrupting livelihoods in one of Somalia’s most agriculturally vital regions,” OCHA noted

NAIROBI: More than 45,000 people have been affected by flash floods in Somalia since mid-April, the UN said, with at least four people killed in the rapidly rising waters.
The Horn of Africa is one of the regions most vulnerable to climate change, and extreme weather events are becoming increasingly frequent and intense. “Since 15 April, flash floods due to heavy to moderate rains in Somalia have affected over 45,000 people and swept away four people, including two children and a woman,” said UN humanitarian agency OCHA, in a report published on April 30.
It warned the flooding came at a time when NGOs — often the frontline responders — are “facing crippling funding reductions that have severely limited their ability to respond to emerging needs.”
It detailed that roughly 6,000 people were displaced in the Middle Shabelle region after the Shabelle River burst its banks on April 29.
It said families have sought refuge in makeshift camps on higher ground but are “facing acute shortages of food, clean water, and health care.”
“The flooding swept away homes and inundated crops, disrupting livelihoods in one of Somalia’s most agriculturally vital regions,” OCHA noted.
The day before, some 9,500 people were also displaced in central Galmudug State after light to moderate rains caused flash floods, it said. The floods come as the international humanitarian community grapples with the US decision to dismantle much of USAID, the country’s main foreign development arm.
“Currently, many humanitarian organizations in areas where the flash flooding is occurring have been forced to pause, scale back, or even close their critical programs,” OCHA noted.
Intense floods hit Somalia in 2023. More than 100 people were killed and over a million were displaced after severe flooding caused by torrential rains linked to the El Nino weather pattern.

 


Zelensky says won’t play Putin ‘games’ with short truce

Updated 03 May 2025
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Zelensky says won’t play Putin ‘games’ with short truce

  • “This is more of a theatrical performance on his part. Because in two or three days, it is impossible to develop a plan for the next steps to end the war,” Zelensky said
  • He said Ukraine would not be “playing games to create a pleasant atmosphere to allow for Putin’s exit from isolation on 9 May“

KYIV: Ukrainian President Volodymyr Zelensky has dismissed a three-day truce ordered by Russian leader Vladimir Putin as theatrics, but said Kyiv was ready for a full ceasefire.
Moscow said the truce, set to coincide with its World War II commemorations on May 9, was aimed at testing Kyiv’s “readiness” for long-term peace, accusing Zelensky of making a “direct threat” to events on the holiday.
The Kremlin rejected an unconditional 30-day ceasefire proposed by Kyiv and Washington in March, and Putin has since offered little to end the three-year Russia invasion.
“This is more of a theatrical performance on his part. Because in two or three days, it is impossible to develop a plan for the next steps to end the war,” Zelensky said.
He was speaking Friday to a small group of journalists including AFP in remarks embargoed until Saturday.
Some in Ukraine have criticized the truce as an attempt to prevent Kyiv from disrupting the World War II anniversary celebrations, with foreign leaders due in Moscow to watch a military parade on Red Square and an address by Putin.
Zelensky said Ukraine would not be “playing games to create a pleasant atmosphere to allow for Putin’s exit from isolation on 9 May.”
Kremlin spokesman Dmitry Peskov told reporters the ceasefire was aimed at testing “Kyiv’s readiness to seek ways to achieve long-term sustainable peace.”
Russian shelling killed two people in Ukraine’s eastern Donetsk region on Saturday, while a drone strike on the southern Ukrainian city of Kherson left one other person dead, regional officials said.
Russian authorities meanwhile accused Ukraine of an overnight attack on the southern port city of Novorossiysk, damaging apartment buildings and injuring five people.
Leaders of around 20 countries, including China’s Xi Jinping, have accepted invitations to join the May 9 celebration, according to the Kremlin.
Zelensky said some countries had approached Kyiv to warn they were traveling to Russia and had requested safety.
“Our position is very simple toward all countries that have traveled or are traveling to Russia on May 9 — we cannot take responsibility for what is happening on the territory of the Russian Federation,” he said.
“They are ensuring your safety,” Zelensky said, adding that Russia “may take various steps on its part, such as arson, explosions, and so on and then blame us.”
Zelensky did not say what Ukraine would do during the truce, but Russia jumped on the comments, accusing Kyiv of making a “direct threat” to the commemorations.
“He is threatening the physical safety of veterans who will come to parades and celebrations on the holy day,” foreign ministry spokeswoman Maria Zakharova said on Telegram. “His statement... is, of course, a direct threat.”
Russian officials have promised grand celebrations for the occasion, during which Putin will seek to rally support for his troops fighting in Ukraine.
Russian troops have been making gruelling gains on several parts of the front, as both Moscow and Kyiv have stepped up their aerial attacks.
The United States has warned it could abandon efforts to broker a ceasefire if it does not see progress.
Washington is seeking “a complete, durable ceasefire and an end to the conflict,” rather than a “three-day moment so you can celebrate something else,” US State Department spokesperson Tammy Bruce said this week.
Bruce said it would ultimately be up to Trump to decide whether to move ahead with diplomatic efforts.
Trump has overhauled US policy toward Russia since taking office, initiating a rapprochement with the Kremlin.
This culminated in an on-camera clash between Trump and Zelensky at the White House on February 28, where both leaders had been set to sign a mineral deal granting US access to Ukrainian resources in exchange for some protection.
Ukraine has since renegotiated the deal, which would see Washington and Kyiv jointly develop and invest in Ukraine’s critical mineral resources.
Zelensky on Friday said the deal was beneficial to both sides and protected Ukraine’s interests, even though the accord offers no concrete security guarantees for Kyiv.
That followed a meeting between Trump and Zelensky at the end of April before Pope Francis’s funeral at the Vatican, the first encounter since their public clash.
“We had the best conversation out of all those that preceded it,” Zelensky said Friday.
“I am confident that after our meeting in the Vatican, President Trump began to look at things a little differently.”


Serbia’s President Vucic cuts short US visit and returns home after falling ill

Updated 03 May 2025
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Serbia’s President Vucic cuts short US visit and returns home after falling ill

  • Vucic suddenly fell ill during a meeting in the US
  • He was admitted to the Belgrade Military Hospital upon arrival

BELGRADE: Serbia’s President Aleksandar Vucic has cut short a visit to the United States and returned to Serbia over an unspecified health emergency, state RTS television reported on Saturday.
Vucic suddenly fell ill during a meeting in the US and decided to return home after consulting doctors, the report said. He was admitted to the Belgrade Military Hospital upon arrival, it added.
Vucic was previously in Miami, Florida, where he had met with former New York City mayor Rudy Giuliani. Vucic had said he also was hoping to meet with US President Donald Trump.
Richard Grenell, US presidential envoy for special missions, expressed hope that Vucic would recover. “Sorry to miss you but hope all is ok,” Grenell wrote on X.
It was not immediately clear what happened and Vucic’s office said they will inform the public later. Vucic, 55, is known to have high blood pressure.
Serbia’s populist leader also has said he would travel to Russia later this month to attend a Victory Day parade in Moscow, despite warnings from European Union officials that this could affect Serbia’s bid to join the bloc.